|Número de publicación||US6953426 B2|
|Tipo de publicación||Concesión|
|Número de solicitud||US 10/354,950|
|Fecha de publicación||11 Oct 2005|
|Fecha de presentación||29 Ene 2003|
|Fecha de prioridad||29 Ene 2003|
|También publicado como||CA2514448A1, EP1596939A1, EP1596939B1, US7513862, US8172741, US20040147800, US20050267320, US20090187061, WO2004069337A1|
|Número de publicación||10354950, 354950, US 6953426 B2, US 6953426B2, US-B2-6953426, US6953426 B2, US6953426B2|
|Inventores||Jerry R. Barber, Charles R. Pitman, Laust Pedersen|
|Cesionario original||Mentor Corporation|
|Exportar cita||BiBTeX, EndNote, RefMan|
|Citas de patentes (31), Otras citas (8), Citada por (26), Clasificaciones (13), Eventos legales (14)|
|Enlaces externos: USPTO, Cesión de USPTO, Espacenet|
This invention relates to magazines for radioactive seeds such as those used with brachytherapy devices.
Brachytherapy is a form of cancer treatment in which radiation sources are placed inside a patient's body to irradiate a tumor. In brachytherapy, a surgeon usually implants several radioactive seeds in or around a tumor, thus providing a radiation dose to the tumor. Careful placement of the radioactive seeds allows localized and precise irradiation of the tumor. Because the radiation dose diminishes rapidly outside the radioactive seed, the radiation dose to surrounding healthy tissues is minimized. Many forms of cancer respond to brachytherapy, including several forms of prostate cancer. Brachytherapy generally is less invasive than surgery, usually results in fewer side effects than surgery or external beam radiation, allows for a short recovery time, and reduces the impact on the patient's quality of life.
Radioactive seeds typically are rice grain sized (generally about 0.8 mm by 4.5 mm), roughly cylindrical objects containing very small amounts of radioactive material. In one widely practiced brachytherapy procedure, the radioactive seeds are implanted permanently inside the patient's body. The half-life of the radioactive material is generally short, and the radioactivity in the seeds decays after about three to six months to the point that there is little detectable radiation. Two radioactive isotopes commonly used for permanent implants are iodine-125, often used to treat slower growing tumors, and palladium-103, which is preferred when a tumor is fast growing. Other radioactive materials have been used in implants as well.
The invention relates to magazines for holding radioactive objects such as brachytherapy seeds. In particular, the invention provides seed magazines having a housing, a seed holder, and a pusher. Seed magazines also can have a shield (e.g., a slidable shield) that can protect a user from radioactivity emitted by seeds contained within the magazines.
The seed magazines provided herein typically are configured for installation into a brachytherapy device (e.g., a brachytherapy seed applicator). During brachytherapy procedures, a seed applicator that is engaged with a seed magazine and attached to a needle is inserted into a patient for delivery of radioactive seeds to the patient. Blood cells can migrate from the patient into the seed applicator, and can become lodged in the applicator at or near magazine retaining structures designed to retain the seed magazine within the applicator. For example, blood and other debris can obstruct the proper functioning of the ball-plunger used to secure seed magazines into standard seed applicators such as the Mick® 200-TP and 200-TPV seed applicators.
The seed magazines provided herein can be configured to be installed in brachytherapy devices (e.g., Mick seed applicators) without engaging magazine retaining structures within the applicators. Such seed magazines therefore can be easily inserted into and removed from brachytherapy devices. In addition, the seed magazines provided herein can have springs or other structures to facilitate retention within brachytherapy devices, rather than relying on magazine retaining structures within such devices.
The seed magazines provided herein also can have markings to indicate how many seeds, if any, remain within the magazine. Thus, a user does not have to visualize the seeds to know how many seeds the magazine contains, reducing the user's exposure to radiation from the seeds.
The invention features a seed magazine having a housing, a seed holder, and a pusher, wherein the seed holder has a surface defining a recess at least one millimeter in length. The seed holder can have a proximal end and a distal end, and the recess can extend from the proximal end toward the distal end. The recess can define a channel that extends to an end of the seed holder. The recess can be centrally located between two edges of the surface. The recess can be defined by no more than two surfaces of the seed holder. The recess can be between three and eight millimeters in length (e.g., between five and six millimeters in length). The maximum width of the recess can be less than five millimeters (e.g., between 0.5 and 2.5 millimeters).
The seed holder can have two adjacent surfaces, where the first surface defines at least one spring and the second surface defines a space, and where the space is positioned such that the at least one spring can move at least partially into the space when force is applied to the first surface. The seed holder can have a surface, where the surface defines a protrusion, and where the protrusion exerts force against a brachytherapy device when the seed magazine is engaged with the brachytherapy device.
The seed magazine can further include a shield, where the seed holder defines a slot for retaining radioactive seeds, and where at least a portion of the shield is positioned over the seed holder. The shield can be slidably movable within the housing and the pusher. The shield can move slidably within the housing and the pusher to obstruct the view of radioactive seeds within the seed magazine.
The pusher can have markings. The space between the markings can be equal to the thickness of a seed.
The housing can be hollow. The external surface of the housing can define external threads and the internal surface of the housing can define internal threads, and the external and internal threads can have the same pitch. The external and internal threads can be offset to maximize the thickness of the housing between the external and internal threads.
The pusher can have a distal end and a disc at the distal end. The disc can define a circular shape with scalloped edges. The disc can be flexible. The thickness at the edge of the disc can be less than the thickness at a point away from the edge of the disc and closer to the center of the disc. The thickness from the edge to the center of the disc can be uniform. The disc can be concave or dome-shaped.
In another aspect, the invention features a seed magazine having a housing, a seed holder, a pusher, and a shield, where the seed holder defines a slot for retaining radioactive seeds, and where at least a portion of the shield is positioned over the seed holder. The shield can be slidably movable within the housing and the pusher. The shield can move slidably within the housing and the pusher to obstruct the view of radioactive seeds within the seed magazine.
In another aspect, the invention features a seed magazine having a housing, a seed holder, and a pusher, where the seed holder defines a slot for retaining radioactive seeds, where the seeds are not visible from outside the seed magazine, and where the pusher has markings to indicate the number of seeds within the seed magazine. The space between the markings can be equal to the thickness of a seed.
In yet another aspect, the invention features a seed magazine having a housing, a seed holder, and a pusher, where the seed holder defines a slot for retaining radioactive seeds, and where the slot has a depth between about 1.2 millimeters and 1.65 millimeters.
Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention pertains. Although methods and materials similar or equivalent to those described herein can be used to practice the invention, suitable methods and materials are described below. All publications, patent applications, patents, and other references mentioned herein are incorporated by reference in their entirety. In case of conflict, the present specification, including definitions, will control. In addition, the materials, methods, and examples are illustrative only and not intended to be limiting.
The details of one or more embodiments of the invention are set forth in the accompanying drawings and the description below. Other features, objects, and advantages of the invention will be apparent from the description and drawings, and from the claims.
Like reference symbols in the various drawings indicate like elements.
The invention provides magazines for containing radioactive objects such as brachytherapy seeds. The seed magazines typically contain several components, including a housing, a seed holder, a pusher, and, optionally, a shield. These components can be made from any material. For example, the components can be made from a plastic material such as polysulfone, nylon, polypropylene, or polycarbonate, or from a metal such as stainless steel, titanium, or aluminum. Components also can be made from a plastic material that contains particles of a metal such as tungsten, titanium, lead, or stainless steel. The metal content can be from about 5 percent by weight to about 95 percent by weight (e.g., 6, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, or 94 percent by weight). In some embodiments, the metal content of a seed magazine component can be about 40 percent to about 70 percent by weight (e.g., 41, 45, 50, 55, 60, 65, or 69 percent by weight). Seed magazine components made from such plastic and metal combinations can have plastic-like characteristics (e.g., flexibility) while providing radiation shielding.
With reference to
Slot 55 can have any suitable size and can be configured to contain any number of brachytherapy seeds. Typically, slot 55 is slightly wider than the length of a brachytherapy seed, is slightly deeper than the diameter of a seed, and is long enough to hold the desired number of seeds. For example, slot 55 can be about three to about six millimeters wide (e.g., about 3, about 3.5, about 4, about 4.5, about 5, about 5.5, or about 6 millimeters wide), about 0.1 to about two millimeters deep (e.g., about 0.1, about 0.3, about 0.5, about 0.75, about 0.9, about 1, about 1.25, about 1.5, about 1.75, or about 2 millimeters deep), and can hold between 10 and 30 seeds (e.g., 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, or 30 seeds). In another embodiment, slot 55 can have a depth that is about twice the diameter of a brachytherapy seed. For example, slot 55 can be between about 1.12 millimeters and about two millimeters deep (e.g., about 1.15, 1.2, 1.25, 1.3, 1.35, 1.4, 1.45, 1.5, 1.55, 1.6, 1.65, 1.7, 1.75, 1.8, 1.85, 1.9, 1.95, or about two millimeters deep). In such an embodiment, slot 55 can contain two parallel rows of brachytherapy seeds, and thus can hold between 20 and 60 seeds (e.g., 20, 22, 24, 25, 30, 35, 40, 45, 50, 55, 57, or 60 seeds). As shown in
With further reference to
Seed holder 20 also can have external threads 70 and ridge 72, which can be positioned toward distal end 50. External threads 70 of seed holder 20 can interact with internal threads 44 of housing 15 when seed magazine 10 is assembled. Ridge 72 can be used as a stop so that a user knows when seed holder 20 is fully installed in housing 15 (e.g., a user can screw housing 15 onto seed holder 20 until ridge 72 abuts proximal end 38 of housing 15). External threads 70 of seed holder 20 and internal threads 44 of housing 15 can be configured such that a minimum number of rotations are necessary to fully and securely install housing 15 on seed holder 20. For example, the threads can be configured such that three, four, five, or more than five rotations are necessary to install housing 15 on seed holder 20 such that ridge 72 abuts proximal end 38 of housing 15. In this configuration, the force required to strip external threads 70 and internal threads 44 can be less than the force required to break seed magazine 10, thus reducing the risk of magazine breakage by over-tightening of housing 15 on seed holder 20.
With further reference to
Recess 75 can define a channel that extends along bottom surface 60 to proximal end 52 of seed holder 20. The channel defined by recess 75 can have a solid bottom surface, such that recess 75 does not extend into a cavity (e.g., the slot where the seeds can be placed) of seed holder 20. A channel defined by recess 75 can have opposing walls. Typically, no more than two surfaces of seed holder 20 (e.g., bottom surface 60 and proximal end 52) define recess 75. Recess 75 can have a width that is narrower than the width of cut-out 77. Recess 75 also can be centrally located between two edges of at least one of the surfaces of seed holder 20, and typically is not located at a corner of seed holder 20 where three surfaces can come together to form a point. Recess 75 can be non-circular in shape.
Bottom surface 60, side surface 64, and proximal end 52 of seed holder 20 can define cut-out 77. Cut-out 77 can be configured to fit around a placement pin within a brachytherapy device such as a Mick® 200-TP or 200-TPV seed applicator. Thus, cut-out 77 can facilitate the proper insertion of seed magazine 10 into a brachytherapy device having a placement pin, as seed magazine 10 can be fully inserted into such a device only when cut-out 77 faces the placement pin. Cut-out 77 can have a width that is greater than that of recess 75. Typically, three surfaces of seed holder 20 (e.g., bottom surface 60, side surface 64, and proximal end 52) define cut-out 77. Cut-out 77 can be configured such that a channel is not formed. For example, cut-out 77 can be configured such that it lacks two opposing walls.
Seed holder 20 can have a retention member such as spring 78, which can be defined by top surface 57 as shown in FIG. 5. Alternatively, bottom surface 60, first side surface 62, or second side surface 64 can define such a retention spring. When top surface 57 defines spring 78, first side surface 62 can define space 80 such that spring 78 can flex at least partially into space 80 when seed holder 20 is inserted into a brachytherapy device. If bottom surface 60, first side surface 62, or second side surface 64 define a retention spring, an adjacent surface can define a space analogous to space 80. Space 80 can have any length, width, and depth. For example, space 80 can have a length between 0.5 millimeter and 6 millimeters (e.g., 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, or 5.75 millimeters), a width between 0.1 millimeter and 3 millimeters (e.g., 0.15, 0.2, 0.3, 0.4, 0.5, 0.75, 1, 1.5, 2, 2.5, or 2.75 millimeters), and a depth between 0.1 millimeter and 3 millimeters (e.g., 0.15, 0.2, 0.3, 0.4, 0.5, 0.75, 1, 1.5, 2, 2.5, or 2.75 millimeters). Space 80 can define a bottom surface, such that it does not extend into a cavity (e.g., the slot where the seeds can be placed) of seed holder 20. Space 80 typically is not located at a corner of seed holder 20 where three surfaces can come together to form a point. Space 80 can have a width that is narrower than that of cut-out 77.
With reference to
As shown in
Distal end 28 of pusher 25 can define disc 258, which can be flexible enough to be pushed through the distal opening of a seed magazine housing but then can return to its original shape once distal end 28 extends through the opening. The diameter of disc 258 can be slightly larger than the distal opening of the housing, such that disc 258 can retain pusher 25 in the housing once distal end 28 has been pushed through the opening. Disc 258 can define any shape. As shown in
With further reference to
Gauge member 30 can have any shape. As shown in
Gauge member 30 can be hollow and thus can define interior space 290. Interior space 290 can include groove 292 and can be configured to house a shield such as shield 300, shown in FIG. 13. When a seed magazine is assembled, shield 300 can extend from interior space 290 through the interior of the housing and over the slot of the seed holder, thus shielding a user from radioactive seeds contained within the magazine. Shield 300 and interior space 290 can be configured such that shield 300 can slide within interior space 290. Thus, when a user holds the seed magazine in what is typically considered an upright position (i.e., with the seed holder at the bottom), shield 300 can slide downward out of interior space 290 to cover any seeds in the seed holder. A user can turn the seed magazine over from the upright position (i.e., such that the seed holder is at the top) in order to allow shield 300 to slide back into interior space 290, thus enabling the user to visualize any seeds in the slot of the seed holder. Shield 300 can have protrusions 302 and 304, which can prevent shield 300 from sliding completely out of a seed magazine. For example, when a seed magazine is in an upright position such that the seed holder is at the bottom, shield 300 can slide down until protrusions 302 and 304 abut the distal end of the seed holder, thus preventing shield 300 from sliding any further. When a seed magazine is inverted such that the seed holder is at the bottom, shield 300 can slide toward the distal end of the pusher until protrusions 302 and 304 abut a plate (e.g., plate 256) on the pusher.
Shield 300 also can have guide structure 306, which can be configured to fit into groove 292 of interior space 290. This embodiment can facilitate the smooth sliding movement of shield 300.
With reference to
It is to be understood that while the invention has been described in conjunction with the detailed description thereof, the foregoing description is intended to illustrate and not limit the scope of the invention, which is defined by the scope of the appended claims. Other aspects, advantages, and modifications are within the scope of the following claims.
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|Clasificación de EE.UU.||600/7|
|Clasificación internacional||A61M36/12, B65D79/00, B65D1/02, A61N5/10|
|Clasificación cooperativa||A61N5/1007, B65D79/005, B65D2501/0036, B65D1/0261, A61N2005/101|
|Clasificación europea||B65D79/00B, B65D1/02D2, A61N5/10B2|
|19 May 2003||AS||Assignment|
Owner name: MENTOR CORPORATION, CALIFORNIA
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:BARBER, JERRY R.;PITMAN, CHARLES R.;PEDERSEN, LAUST;REEL/FRAME:013662/0010
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